Indications for paediatric emergency referral
Systemically ill child with high fever, significant or disproportionate ear pain and unresponsive to treatment, e.g. cellulitis or ear canal occluded by oedema, mastoiditis, malignant otitis externa.
Criteria for routine specialist referral via CRS
These criteria apply to paediatric referrals only. Adult ENT criteria are available on the Referral Access Criteria website.
Patients must present with chronic otitis externa, of duration greater or equal to one month, causing significant morbidity and not responding to recommended treatment.
Routine referral information required
All referrals must include comprehensive medical history, relevant test results, summary of clinical findings and treatment to date.
History to note:
- otalgia, hearing loss, otorrhoea, pruritic ear canal
- history of ear canal trauma (e.g. cotton bud/hair pin)
- diabetic history
- impact on patient’s quality of life.
Information about community management
Further information regarding primary care management of ENT conditions is available on HealthPathways WA (external site). Please email the HealthPathways team to obtain the login details: healthpathways@wapha.org.au.